breaking free services center for wellness logo | Counseling and Therapy in Tarpon Springs Florida

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1501 South Pinellas Ave, Suites Q + H, Tarpon Springs FL 34689
727-547-3692   |   clientcare@breakingfreeservices.com

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Client Forms

If you are new to therapy, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy, and allow as much time as possible to be spent focusing on you.

Adult Intake Packet

Teen Intake Packet Ages 13-17

Child Intake Packet

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breaking free services logo | Therapy and counseling in Tarpon Springs Florida
Counseling, Massage Therapy, Health Coaching, Nutrition Planning, Yoga & Acupuncture

Phone: 727-547-3692

Email: clientcare@breakingfreeservices.com

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"It's okay to not be okay,
It's just not okay to stay there."
-- Matt Chandler, The Village Church

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A Website by Brighter Vision

  • Home
  • Meet Our Team
  • Counseling
  • Supplements
  • Groups
  • Client Information + Forms
    ▼
    • Client Forms
    • Medical Records Requests
    • Appointment Request
    • FAQs
    • No Surprises Act
  • Rates & Insurance
  • Blog
  • Contact
  • Join Our Team
    ▼
    • Open Positions
    • Practicum/Internship Requests
    • BA/BS Student Requests
  • Share Your Feedback